HomeMy WebLinkAbout13-14394 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oozo 14394
BUILDING PERMIT
Permit Number: 14394 Address: 6143 19TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ZEPHYR BREEZE
Est. Value: Parcel Number: 02-26-21-0190-00000-0330
Improv. Cost: 5,000.00
Date Issued: 7/25/2013 Name: WOODALL, DEBRA J.
Total Fees: 60.00 Address: 6143 19TH ST
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/25/2013 Phone:
Work Desc: RE-ROOF WITH SHINGLES
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TAPE JOI S ROOF INS
FINAL �-,'� =t�
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection
trips are necessary due to any one of the following reasons: a)wrong address b)condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site fl plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Acxompany Application.All work shall be performed in accordance with
1 Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
'813-780-0020 City of Zephyrhills Permit Appiication Fax-813-780-0021
Bufiding Department
Date Received ""` � Phone Contact for Permittin __
Owner's Name C t � Owner Phone Number
Owner's Address � ��r` e � !' Owne�Phone Number �—
Fee Simple Titleholder Name Owner Phone Number �— �
Fee Simple Titleholder Address
�l�l / `1 '`� S% �"
JOB ADDRESS �C •�, �� I� � Z LOT# ��
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN C] Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM [� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME [_] STEEL Q
DESCRIPTI�N OF WORK ����r �� r� 6 L,� I�,c. � L� ' -�, � �.� �� �b e I�
BUILDING SIZE �— SQ FOOTAGE HEIGHT
OBUILDING S � VALUATION OF TOTAL CONSTRUCTION
aaa
[�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING a
� �� l
� �� �
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO
�GAS Q ROOF�NG Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER J � COMPANY TL C !<.v� ,,,� � �� �
SIGNATURE • REGISTERED Y/ N FEE C REA Y/N
Address License# —�
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �— —�
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL AtNach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit far new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fom►s.R-O-W Permit for new construction.
Minimum ten(10)working days after submfttal date. Required onsite,Construction Plans,StoRnwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""'PROPERTY SURVEY required for all NEW consUuctton.
DirecNons:
Fill out application completely.
Owner 8 ConUactor sign back of application,notarized
If over 52500,a Notice of Commencement is rsqu(red. (A!C upgrades over=T500)
'" Agent(for the contractor)or Power of Attdmey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of ApplicaSon Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter it on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibfliry for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. if the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Fu�thermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOV�ERY�ns ES{' n of neweb 9d n snchange of
that Transportation Impact Fees and Recourse Recovery Fees may app y 9
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. it is fu�ther understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or flnal power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a pe�mit to do wo�k and instailation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I aiso
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WatedWastewater Treatment.
- Southwest Florida Wate� Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Watenivays.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I ce�tify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversety affect adjacent
prope►ties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for Iots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set fo�th in
this affidavit prior to commencing construction. I understand that a separate permit may be requfred for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR EN'TS TO YOUR PROP Rl'Y.TIF YOU INTOE D TO OBTA NAFINANC NG, CONSULT
PAYING TWfCE FOR IMPROVEM
WITH YOUR LENDER R AN TTORNEY EFORE RECORDING YOU NOTIC COM ENCEMEPIT.
FLORIDA JURAT(F.S. 117.03) 1J � '
CONTRACTOR ' -- ' ,
OWNER OR AGENT Subscribed and swom to(or a�lrmed)befere rnet�' `�`
Subscrfbed and swom to(or afflrmed)before me this ���l�3 by � „� �( „ _._ .� 1 ').�/�'�C�=��--
bY Who fslare personally knovm to me or haslhave produced
Who is/are personally k�own to me or has/have produced as identlfication.
as fdentlflptlon. _
; �. �
, .�,,,, ublic
Notary Public :,.,� ,,: �pmmi 140709
Commissio
Commissfon No. ' BordedThuTmyFahiHuran�x8fq�38S7019
ed, rfnted or stamped Name of Notary typed.Printed or stamped
Name of Notary typ P
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or..�e p� Cd1�lAERC1M..
r•�••• �$pE� ALL ROOF TYPES
''�'�'� � '�°•'�° PROPOSAL
ESTIMATES
CALL MiKE TMURSTON
Office: 352-437-4073 Cell: 352-650-7101 Page No. of Pages
TO.
��le �✓OO��t,�� PH NE: DATE:
8 � 7
� l�� ��,�.y� � � JOB NAM f��`OCATt{N
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2G�I1YI'"�'1 ' ��S � F( 3 3 S�/� DEPARTMENT. OFFICE: FLOOR:
JOB NUMBER JOB PHONE:
We hereby submit specifications and estimates for:
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We Propose to furnish material and labor-complete and in accordance with the above specifications, for the sum of:
Payment to be made as follows:
oo��a�s:$ �� pad. v�
All material ia puaranteW to bs as aps�i8ed.All oAc�compl�tad fi a profsasianna ma��
accordi�y to standard practic�e, ,q�y atteratbn or dsviation from lfw abovs apsclfi�tbns whieh
involvs exva costs wiU b�maG on�y u�pp�r�ceipt of an auMorizsd,writtan changs order and will be
shown on subspusnt irnroieea as amounb ovar aDow the oriflinal sstimats.It is widxstood th�t ws
"'���^O��Ps^���zed for d�lays aused Dy sfrikea,eccidsnts w o�har de�ays caused by sa�ot God. AUthOf12@d
Our woAcen ere covsred by Wortcers Compensetion inwrance. Owner apreea to fumiah all other Signature
appropriate and neossaay inauronce wveragee.
Note� This proposal may be withdrawn �y us if not accepted within
ACCEPTANCE OF PROPOSAL- The above prices, spec�cationsand conditions are satisfactory and are accepted.You are authorized to
do the work as specified. Payment will be made as outlined above.
Signaturd�"— — -'-� �� ��
Signatu�e ? �S �j
Date of Acceptance•
I f IIIII IIIII IIIII IIIII IIIII IIIII INI111111111111I111 llll llll
201312936q
PertnilNo. ParcellONO a2-2L-ZI -a+qa_ oaoaa a3.3a
NOTiCE OF COMMENCEMENT
State of �!8rT�� County of e�nsC�
THE UNDERSIGNED hereby givea nolice thal knprovement wiH be maCe to certai�real propeAy,ana in accoroance with Chapter 7�3,Fiaida s�atutes.
the tollowing informatlon is provided in this Notice of CommencemenL
1 DescripUon oi Property ParcN laentificatiaJn No.
Street Address: r�
2. General Deacnplion of Improvement �
3 T46 _�G �N41r's
3. Owner Informadon or Lessee intormation ff the Lessee conUacted for the improvemenP
�nl�� Na!�i.t�+- ST �35�f Z �c r ,�
Address Cily Stale
Interest in Property:
Name of Fee Simple TfUeholder
(If diHerent from Ow�er listed above)
Address Cily Slate
R 4 Coatracta
a ���c_;�, � �v�T � *
Address ily State G`Q. � -� ' �
Contrador's Telephone No.
•
J. SUfCh/' � �
Name v ' �� •��
Address City State Q ' ry° �v'
Amount of Bond: S Telephone No. ", • � 00~ ��
� �� � �
6. Lender y �
Name ��� ���j.
Address Ciry State � �
Lender's 7elephone No.
7 Persona within fhe Stete of FloMda designated by the owner upon whom notfces or olher tlocumenls may be ServeA as pro�deA by * * *
SeUfon 713.13(7)(a)(7),Florida Statutea:
Name Rept:1537832 Rse: 10.00
DS: 0.00 IT: 0.00
nddress ��ty 07/25/13 E. Munquta, Dply Clerk � z U Q� w
Telephone Number of Designaled Peraon: � � LL1 li (n �j,J �
�..� �� `� _ `� � c�
B. In addilion to himself,the owner designates ��— � Z U� h- O �
to recelve a copy ot Ihe Uenofs Notice as provided in Section 713.13(7)(b),Florida Statutes. ��� S ¢ �� a a
Telephone Number of Person or Entity Des�gnaled by Owner: � � � Ir- � a W�
9. Expiration dale of NoUce of Commencement(the expiratfon date may not be be(ore lhe completion of construction and final payment to ihe � o = Z -, �
conVactor,but wt�l be orre year(rom the date ot reeoMing urdess a diHerent date is speeified): t„}., � � �V �
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT Z y fl � u_ � �
A R E C O N S I D E R E D I M P R O P E R P A Y M E N T S U N D E R CHAPT E R 713, PART 7, SECTION 713.13, FLORIDA STATUTES, ANO CAN � � �-
RECORDED AND POSTED ON HE JOB SITE BE�FOREETHTE FI ST NSPECT ON.RIF YOU INT�END TO OBT�AIN F NANC NG,CONSUIT � � �j EY_ � Y
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT � � U
"� F— F-- J Q "J
Undet penalty of perjury,I deGare that I have reatl Ihe toreqoirg nolice of commencement arW that lhe facts slated therein are true to the best� � } � � (3
of my knowledge and behef. yi � �-
�.,�1iI,G... _ GLJ ��/� � �"' CY_ tl Q O J �
STATE OF FLORIDA � P�]r ty �r �y = Q W •
COUNTY OF PASCO ignature of OvYner a Leasee, ers or Lessee's Authonze U+. �,j L � � � O
OfficedDirectodPadnedManager � ``� L
Q �-- z� ° �� cn�
Signatory's TiUUOtfice � � � W� �'� ,
\__ \ t1 1— � W � z .
The foregoing mslrumenl was acknowledged before me this�day ot��� ,20�,by �47.i.� �](.n W��0�1� h S � Z F-� Q `}
as O ue�gf (type of authoriry,e.g.,officer,Irustee,anorney in tacq for � � � 0 � a �
(name 1 on behalf of whom instrument was execuled).
Personally Known❑Q@ Produced Identification� Notary S�gnature
Type o(Identificalion Produced �'L � �L�tA�S4 Name(Print)
ELISA P.BAVAGE
¢��� Notary Pudie.Snu ol Fbri1�
�pmmiaMOn�EE 87�599
MY�p�nm,�xpirst Fib.13.2017
PRULR S 0'NEIL,Ph D PRSLO CIERK 6 COMPTROLLER
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